Clinical and humanistic burden among pediatric patients with neurofibromatosis type 1 and plexiform neurofibroma in the USA
| العنوان: | Clinical and humanistic burden among pediatric patients with neurofibromatosis type 1 and plexiform neurofibroma in the USA |
|---|---|
| المؤلفون: | Xiaoqin Yang, Hyun Kyoo Yoo, Suvina Amin, Wendy Y. Cheng, Sanjana Sundaresan, Lujia Zhang, Mei Sheng Duh |
| المصدر: | Child's Nervous System. 38:1513-1522 |
| بيانات النشر: | Springer Science and Business Media LLC, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Male, Neurofibroma, Plexiform, Cross-Sectional Studies, Neurofibromatosis 1, Surveys and Questionnaires, Pediatrics, Perinatology and Child Health, Quality of Life, Humans, Female, Neurology (clinical), General Medicine, Child |
| الوصف: | Purpose To assess clinical and humanistic burden among pediatric patients with neurofibromatosis type 1 (NF1) and plexiform neurofibroma (PN) in the USA. Methods NF1-PN patients aged 8–18 years (treatment-naïve or ≤ 1 month of selumetinib treatment) and their caregivers and caregivers of similar patients aged 2–7 years were recruited through the Children’s Tumor Foundation to participate in an online cross-sectional survey (December 2020–January 2021). Caregivers provided data on patients’ demographic and clinical characteristics and burden of debulking surgeries. Patients and caregivers provided self-reported or proxy responses to health-related quality of life (HRQoL) questions using validated instruments. Results Sixty-one patients and 82 caregivers responded to the survey. Median (range) age of patients was 11.5 (3–18) years, and 53.7% were female. Most were treatment-naïve (97.6%), with NF1-PN diagnosis for > 5 years (68.3%). Most patients (59.8%) had > 1 PN and 11.0% reporting > 5 PNs. Common NF1-PN symptoms included pain (64.6%), disfigurement (32.9%), and motor dysfunction (28.0%). Patients and caregiver proxies reported low overall HRQoL and reduced physical, emotional, social, and school functioning. Patients also reported considerable pain severity, interference, daily activity impairments, and movement difficulty. Few patients had received complete resections of their tumors (12.2%). 39.0% reported ≥ 1 debulking surgery, among whom, 15.6% had complications, and debulking surgery-related hospitalizations were common (53.1%). Conclusions The clinical and humanistic burden among pediatric NF1-PN patients is substantial. While debulking surgeries are used for symptom management, they are associated with considerable clinical sequelae. Results highlight a need for improved disease management strategies. |
| تدمد: | 1433-0350 0256-7040 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8429a6e24158d5ee47483cd074a010ccTest https://doi.org/10.1007/s00381-022-05513-8Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8429a6e24158d5ee47483cd074a010cc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14330350 02567040 |
|---|